Loading...
HomeMy WebLinkAbout0142323-Building (roof) Permit App Roofing and Siding Page 1 of 2 City of Oshkosh Inspection Services Division CITY Of PO Box 1130 g IS-Church Aug Oshkosh, WI 54903 -1130 Phone: (920) 236 -505r.,: • b. Fax (920) 236 -5084N 11 Roofing & Siding Permit Application Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903- 1128. Commencing work without permit(s) will result in fees being doubled or $100.00 phis the normal permit fee, which ever is greater. If you are a contractor participating in the Permit Fee Account System and have adequate funds, type YES if you want this processed through your account JOB ADDRESS 505 MARION ROAD, OSHKOSH, WI OWNER MERCURY MARINE CONTRACTOR M.W. TIGHE ROOFING, INC, 183 W. MCWILLIAMS STREET, FDL, WI 5493 I am the: ❑ Owner OR Ci Contractor USE CATEGORY 0 Single Family 0 Duplex 0 Multi - Family 0 Rental 0 Commercial 0 Industrial Work being done: ROOFING Tear off and replace existing roofing on 0 house, 0 garage ❑ Replace wood decking ❑ Add 1 layer of roofing to the existing layer(s) on 0 house, 0 garage This work is being done due to ❑ Hail Damage Other SIDING ❑ Install siding on 0 house, 0 garage ❑ Replacing vinyl with vinyl ❑ Replacing ( 0 steel or 0 aluminum) with vinyl Replacing with This work is being done due to ❑ Hail Damage ❑ Other When siding is done, one of the boxes below must be checked: 1) ❑ Electric — Existing Electric Meter, receptacle, lighting and Electric Service entrance alterations /modifications are being performed by (Name of Licensed Electric Contractor) Permits requiring an Electric Installation Verification form can not be processed by e-mail since both the application and EIV form must be submitted together. You may print these forms and submit them together by coming to our office, mailing them or faxing them together at 236 - 5084. http: / /www.ci.oshkosh.wi.us/ Community_ Development / Inspection _Services /Permit App_... 7/29/2010 Permit App Roofing and Siding Page 2 of 2 2) ❑ Electric — Not Applicable because: 0 J Blocks previously installed. 0 No outside lights. Other ❑ Install new or ❑ Replace gutters ❑ Install new or ❑ Replace downspouts Other related work being done: (please note) No t Value of the job $ 9,200.00 (include fair market price for labor even if you are not paying for labor) • Submit J. Reset N e to - Da° P Srif frL1 L F-12 VV f (AA 75114 ". 64 ,7 .7-/i/r( p ye-it TAN 6 t�i21 CJ1j/ e_42/1/62.4-7_ c-k http:// www. ci. oshkosh. wi. us/ Community _Development /Inspection Services/Permit App_... 7/29/2010